<form method="post" action="" id="t_ownerForm">
<table align="center" class="table2">
	<tr><td colspan='3'>
	{$error}
	</td></tr>
	<tr>
		<th align="right" width="90px">
			主卡卡号:
		</th>
		<td width="360px">
			<input type="text" id="txt_main_card" name="txt_main_card" />
		</td>
		<td>
			<div id="txt_main_card_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			附属卡卡号:
		</th>
		<td>
			<input type="text" id="txt_supplementary_card" onblur="setCard('txt_supplementary_card')" name="txt_supplementary_card" />
		</td>
		<td>
			<div id="txt_supplementary_card_tip"></div>
		</td>
	</tr>
	<!-- <tr>
		<th align="right">
			用户名:
		</th>
		<td>
			<input type="text" id="txt_user_name" name="txt_user_name" />
		</td>
		<td>
			<div id="txt_user_name_tip"></div>
		</td>
	</tr> -->
	<tr>
		<th align="right">
			真实姓名:
		</th>
		<td>
			<input type="text" id="txt_owner_name" name="txt_owner_name" />
		</td>
		<td>
			<div id="txt_owner_name_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			联系电话:
		</th>
		<td>
			<input type="text" id="txt_phone" name="txt_phone" />
		</td>
		<td>
			<div id="txt_phone_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			身份证号:
		</th>
		<td>
			<input type="text" id="txt_id_card" name="txt_id_card" />
		</td>
		<td>
			<div id="txt_id_card_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			所在社区:
		</th>
		<td>
			<select style="width:100px;" name="sel_province" id="sel_province">
	        </select>
         	<select style="width:100px;" name="sel_city" id="sel_city">
              	<option value="">市</option>
          	</select>
            <select style="width:100px;" name="sel_area" id="sel_area">
                <option value="">区/县</option>
            </select> 
			
        	<div id="divCommunity" style="margin:5px;"></div>
        	<input type="hidden" id="hidCo" name="hidCo" value="" />
		</td>
		<td>
			<div id="txt_community_id_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			联系地址:
		</th>
		<td>
			<input type="text" id="txt_address" name="txt_address" />
		</td>
		<td>
			<div id="txt_address_tip"></div>
		</td>
	</tr>
	<tr>
		<th align="right">
			备注:
		</th>
		<td>
			<textarea id="txt_remark" name="txt_remark" style="width:300px; height:120px;"></textarea>
		</td>
		<td>
			
		</td>
	</tr>
	<tr>
		<th></th>
		<td colspan="2">
		<div style="margin-right:10px;" class="left"><a class="buttonStyle" onclick="submitForm('t_ownerForm')"><span></span>添加</a></div>
    	<div class="left"><a class="buttonStyle" href="{$manageDomain}ownerManage/show/"><span></span>返回</a></div>
		</td>
	</tr>
</table>
</form>
